<div id="content_header">
  <h3>Placement Test Fee</h3>
</div>

<!-- PT FORM INPUT -->
<div class="row">
  <div class="col-md-6 col-lg-4">
    <form name="ptForm" role="form" ng-submit="save()">

      <div class="form-group">
        <label for="Online">Online</label>
        <input type="text" id="Online" class="form-control" ng-model="fees.Online.Fee">
      </div>

      <div class="form-group">
        <label for="Offline">Offline</label>
        <input type="text" id="Offline" class="form-control" ng-model="fees.Offline.Fee">
      </div>

      <button type="submit" class="btn btn-primary" >Submit</button>
    </form>
  </div>
</div>